Miss. Alim Vivanco
Miss. Alim Vivanco is a Family Medicine Physician in Beavercreek, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
2641 Hibiscus Way Apt 312Beavercreek, OH 45431-2393
Phone: (937) 830-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 23558185 (OH) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 23558185 (OH) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 23558185 (OH) |
Record details
| NPI number | 1881977171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2011 |
| Last updated in NPPES | September 22, 2011 |
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